Individual
MRS. GUADALUPE DELENE MESA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
401 BURRO ALY, MORENCI, AZ 85540-9647
(928) 865-9184
Mailing address
PO BOX 218, MORENCI, AZ 85540-0218
(928) 865-7500
(928) 865-9186
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
12934A
AZ
Other
Enumeration date
06/22/2017
Last updated
09/03/2025
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